NDC codes

FDA NDC Directory
Product NDC (as listed)43689-0058Labeler and product segments. Claims need a package NDC.
Product NDC at billing width43689-0058Add the package segment from the table below.
Package NDCs as listed with the FDA, and the 11-digit 5-4-2 form used on claims. The highlighted digit is the added leading zero.
Package NDC11-digit (billing)PackageCopy
43689-0058-2436890058021 BOTTLE in 1 CARTON (43689-0058-2) / 125 TABLET in 1 BOTTLE (43689-0058-1)Marketed from Jan 25, 2023

How the 11-digit form is made: The package segment has 1 digit, so one leading zero is added to it (5-4-1 → 5-4-2). Formatting the NDC does not by itself make it billable — the product, package and quantity must match what was dispensed or administered, and payer rules apply. Conversion rules

Product information

Brand name (proprietary)
Fibromyalgia Support
Generic name (nonproprietary)
aconitum napellus, arsenicum album, belladonna, coniinum, gelsemium sempervirens, hypericum perforatum, kali bichromicum, lacticum acidum, phosphoricum acidum, rhus tox, uricum acidum
Active ingredients
Aconitum napellus whole — 30 [hp_C]/1Arsenic trioxide — 30 [hp_C]/1Atropa belladonna — 30 [hp_C]/1Coniine — 30 [hp_C]/1Gelsemium sempervirens root — 30 [hp_C]/1Hypericum perforatum whole — 3 [hp_X]/1Potassium dichromate — 30 [hp_C]/1Lactic acid, Dl- — 30 [hp_C]/1Phosphoric acid — 30 [hp_C]/1Toxicodendron pubescens leaf — 30 [hp_C]/1Uric acid — 30 [hp_C]/1
Dosage form
Tablet
Route
Oral
Product type
Over-the-counter drug
Marketing category
Unapproved homeopathic
Marketing start
Listing expires
Identifiers
Product ID 43689-0058_b112d563-04c7-4c8e-8757-e06d7f541a2bSPL ID b112d563-04c7-4c8e-8757-e06d7f541a2bSPL set ID 36892361-994e-4a6d-972a-9ea9b72f89feUNII U0NQ8555JD, S7V92P67HO, WQZ3G9PF0H, C479P32L2D, 639KR60Q1Q, XK4IUX8MNB, T4423S18FM, 3B8D35Y7S4, E4GA8884NN, 6IO182RP7A, 268B43MJ25

Billing references

What Med-Code can say about coding this product, and where each statement comes from. Nothing here is inferred from the name alone.

HCPCS codeNo match

No HCPCS code in Med-Code's directory. Oral products like this are usually dispensed by a pharmacy and billed by NDC.

NDC on a medical claim

N443689005802 followed by a unit qualifier and the quantity

Package 43689-0058-02. Unit qualifiers: F2 (international unit), GR (gram), ME (milligram), ML (milliliter), UN (unit (each)). The qualifier and quantity depend on what was given. About the N4 qualifier

Product label

Current FDA label (SPL), effective .

Indications (excerpt from the label)

USES: Temporarily relieves widespread aches, pains, and stiffness with fatigue

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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